逆行性胰胆管造影在早期急性胆源性胰腺炎中的应用

Application of ERCP in elderly patients with acute biliary pancreatitis

目的探讨逆行性胰胆管造影(ERCP)在早期急性胆源性胰腺炎(ABP)患者中的临床应用价值。方法分析120例早期ABP患者的临床资料,采用ERCP治疗的患者为60例作为观察组,采用保守治疗的60例患者作为对照组。对两组患者的治疗有效率、病死率以及并发症发生率进行分析。结果观察组患者的治疗有效率(95.0%)与对照组(76.7%)比较,差异有统计学意义(P<0.05);观察组患者的病死率(1.7%)与对照组(13.3%)比较,差异有统计学意义(P<0.05);观察组患者的并发症发生率(11.7%)与对照组(30.0%)比较,差异有统计学意义(P<0.05)。结论采用ERCP治疗早期ABP的有效性和安全性高,可考虑作为ABP患者的首选治疗方法。

Objective To investigate value of clinical applications of ERCP in patients with acute biliary pancreatitis.Meth-ods A retrospective study was conducted on 120 patients with acute biliary pancreatitis in the Chaohu Hospital of Anhui Medical U-niversity between January 2014 and December 2015.The subjects were divided into two groups：observation group （n =60）and con-trol group （n =60）groups,were respectively treated with ERCP and internal medical therapy.The validity rate,mortality rate and the incidence of complications were recorded.Results The validity rate of the observation group（95.0%）was better than that of the control group （76.7%）,the differences were statistically significant （P 〈0.05 ）.The mortality rate of the observation group （1.7%）was lower than the control group（13.3%）,the statistically significant differences（P 〈0.05）;The incidence of complica-tions of the observation group（1 1.7%）was lower than the control group（30.0%）,the statistically significant differences（P 〈0.05）.Conclusion ERCP is an effective and safe method for the treatment of acute biliary pancreatitis and can be recommended as the first choice of treatment.